Ankle: Joint Pathology 1 Flashcards
Primary OA in the ankle is (common/rare)
Rare
Primary OA in the ankle only affects (%) of adults
1-4%
Why does primary OA only affect 1-4% of adults?
due to relative thickness of cartilage
Post-traumatic OA accounts for (%) of cases
75%
Best results for treatment for OA in the ankle
Debridement and/or surgical replacement
No robust rehab trials have shown long term effectiveness
OA: Subtalar joint involvement was identified if 2 of the following criteria were positive
- Subtalar pain on motion
- Restriction of subtalar motion
- Radiographic arthritic change
OA: What angles used to evaluate the talonavicular joint?
- talometatarsal angle
- talonavicular joint space
Chopart’s injury: to which joints?
- talonavicular
- calcaneocuboid
What is hallux rigidis?
Degenerative arthritis of the first MTP
Hallux rigidis: what are helpful for diagnosis?
- loss of motion
- pain
- bony enlargement
- history, progression, and frequency of symptoms
Hallux rigidis: More common in males or females?
Females
Hallux rigidis: Why might it occur more frequently in runners?
Repetitive stress
Hallux rigidis: Rehab
- early joint immobilization to promote healing
- followed by taping, shoe modifications, and orthotics
Hallux rigidis: What might be used to provide relief to endrange extension forces to allow the joint to heal and restore ROM, strength, and motor control?
Spacer
OCD lesions: clinical presentation
Typically follows what type of injury
Ankle sprain or trauma
OCD lesions: clinical presentation
Most common in what group?
Males
20-30 yo
OCD lesions: clinical presentation
May present with chronic ankle pain or with what group
Diabetics
OCD lesions: clinical presentation
Symptoms
Worse with what activities
- Running
- Jumping
- Prolonged WB
- High impact sports
OCD lesions: clinical presentation
Symptoms
Strong link with…
Chronic ankle instability
OCD lesions: clinical presentation
Physical exam
Ttp
Localized ttp of talus
